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肯尼亚黑热病对葡萄糖酸锑钠治疗的反应。

The response of Kenyan kala-azar to treatment with sodium stibogluconate.

作者信息

Rees P H, Kager P A, Wellde B T, Hockmeyer W T

出版信息

Am J Trop Med Hyg. 1984 May;33(3):357-61. doi: 10.4269/ajtmh.1984.33.357.

Abstract

Of 16 patients with kala-azar treated with sodium stibogluconate (0.1 ml/kg body weight a day), one died on the 12th day of treatment and nine were cured by a 30-day course, although two subsequently relapsed. Extending the course cured a further five patients, and in one patient allopurinol was used in addition before a cure was achieved. Clinical and hematological recovery began within a few days of the start of treatment, but parasites continued to be seen in splenic aspirates for 3 weeks or more.

摘要

16例黑热病患者接受葡萄糖酸锑钠治疗(每日0.1毫升/千克体重),其中1例在治疗第12天死亡,9例经30天疗程治愈,不过有2例随后复发。延长疗程又治愈了另外5例患者,1例患者在治愈前还加用了别嘌呤醇。临床和血液学恢复在治疗开始后的几天内就开始了,但脾穿刺物中寄生虫在3周或更长时间内仍可检出。

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